Native Mitral Valve Infective Endocarditis From Flossing: A Case Report and Emergency Department Management

Infective endocarditis (IE) is a rare, elusive disease, carrying a 10%-30% mortality. Requiring a high index of suspicion, IE affects damaged native valves and prosthetic valves. While there are a number of inherent risk factors that predispose patients to IE, dental work in the preceding six weeks...

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Detalles Bibliográficos
Autores principales: Bridwell, Rachel E, Larson, Neil P, Birdsong, Sara, Long, Brit, Goss, Sarah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Cardiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7813535/
https://www.ncbi.nlm.nih.gov/pubmed/33489556
http://dx.doi.org/10.7759/cureus.12144
Descripción
Sumario:Infective endocarditis (IE) is a rare, elusive disease, carrying a 10%-30% mortality. Requiring a high index of suspicion, IE affects damaged native valves and prosthetic valves. While there are a number of inherent risk factors that predispose patients to IE, dental work in the preceding six weeks is often a culprit of disease, colonizing damaged native mitral valves with Streptococcus viridans species. Traditionally, flossing has been suggested to be protective against IE. We present a case of S. gordonii subacute IE on a regurgitant native mitral valve secondary to vigorous flossing.

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